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General NPI Number Information
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NPI Number | 1831093319
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Entity Type | Organization
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Legal Business Name | PORTER HOSPITAL INC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 23 POND LN
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City | MIDDLEBURY
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State | VT
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Zip | 05753-2057
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Country | US
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Telephone | 802-388-1200
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Fax | 802-388-3566
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Provider Business Mailing Address
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Address Line | 104 PORTER DR
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City | MIDDLEBURY
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State | VT
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Zip | 05753-8527
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Country | US
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Telephone | 802-877-3466
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Fax |
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Authorized Official
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Title or Position | MANAGER ENROLLMENT SERVICES
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Name | KATHRYN KELLY
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Credential |
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Telephone | 717-821-6280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NULL
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